17TH AVENUE PSYCHIATRY – NPI #1619154440
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

17TH AVENUE PSYCHIATRY is a psychiatry & neurologist located in NASHVILLE, TN. NPPES has assigned the NPI number 1619154440 to 17TH AVENUE PSYCHIATRY on January 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 17TH AVENUE PSYCHIATRY below.

NPI Profile for
17TH AVENUE PSYCHIATRY

NPI Number
1619154440
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
17TH AVENUE PSYCHIATRY
Primary location
1503 17TH AVE S
NASHVILLE, TN 37212-2805
Phone: (615) 292-1664 Fax:
Mailing address
PO BOX 40466
NASHVILLE, TN 37204-0466
Phone: Fax:
Organization Subpart
No
Authorized Official
FREDERICK STARR
CEO
Phone: (615) 292-1664
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
TN 38217

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.